Fu Chang, Jin Hengwei, Fang Lijun, Xu Hongji
Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, The First Hospital of Jilin University, Changchun, China.
Department of General Surgery, Liaoyuan People's Hospital, Liaoyuan, China.
Front Med (Lausanne). 2024 Oct 3;11:1429127. doi: 10.3389/fmed.2024.1429127. eCollection 2024.
Cholecystolithiasis combined with bile duct stones is more and more common in children, but the surgical treatment is still controversial. We report on a 3-year-old boy, who underwent laparoscope combined with ureteroscope for choledocholithiasis with cholecystolithiasis. This combination therapy offers the possibility to treat pediatric patients with cholecystolithiasis and bile duct stones in low-resource settings where ERCP experience and child-specific surgical instruments are not available. Additionally, a comprehensive review of previous studies was conducted to summarize the surgical treatments. The surgical treatment of children should be made according to the specific situation to maximize the success of the operation and reduce the risk.
胆囊结石合并胆管结石在儿童中越来越常见,但手术治疗仍存在争议。我们报告了一名3岁男孩,他接受了腹腔镜联合输尿管镜治疗胆总管结石合并胆囊结石。这种联合治疗为在缺乏内镜逆行胰胆管造影(ERCP)经验和儿童专用手术器械的资源有限环境中治疗患有胆囊结石和胆管结石的儿科患者提供了可能性。此外,对先前的研究进行了全面综述以总结手术治疗方法。儿童的手术治疗应根据具体情况进行,以最大限度地提高手术成功率并降低风险。